Alternative prescriber |
As alternative to a doctor, or replaced by an alternative, possibly 'cheaper' model |
2 |
3 |
Clinical skills |
Clinical examination skills–acquisition or lack of. |
1 |
2 |
Confidence |
Personal confidence in skills |
2 |
2 |
Employer |
Support from Trust, department, manager etc |
12 |
5 |
Funding |
Funding to practice |
0 |
5 |
Information sources |
Access to information sources, use of information sources. Keeping up to date with new information. |
3 |
2 |
Infrastructure |
Access to clinic room, prescription pads etc. |
2 |
2 |
Knowledge |
Experience in prescribing area (or lack of). Specialist knowledge. |
6 |
1 |
Legal Aspects |
Prescribing legislation, indemnity, registration |
4 |
9 |
Medical Records |
Access to medical records—paper or electronic |
3 |
5 |
Medical support |
Medical support—GP/Consultant etc. Includes acceptance of role etc.. |
19 |
6 |
Nursing support |
Relationship with nursing staff. Could be supportive or indicate lack of understanding of the role. |
2 |
2 |
Patients |
Patient experience and knowledge of NMP. |
5 |
0 |
Peer support |
Other colleagues and clinicians. |
12 |
5 |
Post Course Support |
Post course development including appraisals |
3 |
2 |
Prescribing budget |
Access to prescribing budget |
1 |
1 |
Prescribing Course |
Usefulness/appropriateness of course. Aspects relating to communication from the university during and following course completion. |
0 |
3 |
Prescription review |
Pharmacy review of prescriptions. Includes need for second pharmacist. |
1 |
5 |
Role |
Personal job role. Includes effect of change in role. |
2 |
7 |
Role model |
Acting as a role model. Being inspired by other role models. |
2 |
0 |
Time |
Time to prescribe, time free from other duties etc. |
0 |
10 |
Ward round |
Role and attendance on ward rounds. Attendance at MDT meeting. |
1 |
2 |
Working environment |
Totality of working environment, including protocols and policies guiding activity. |
2 |
3 |
Minor themes |
Competency, formulary, practice area, external drivers and working patterns |
1 |
4 |